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PRODUCER , Lockton Compames 444 W. 47th Street, Suite 900 Kansas City Mo 64112-1906 (816) 960-9000 'AC()RD~ CERTIFICATE OF LIABILITY INSURANCE 04/0112005 D;~~~~~;;;;) THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR Y INSURERS AFFORDING COVERAGE INSURED 14966 SPRINT PCS ASSETS, L.LC. 6160 SPRINT PARKWAY OVERLAND PARK KS 66251 A-""oo4-138' A-dOQLI- 13q A - ;;<oCJLI- \ 4D INSURER A , CONTINENTAL CASUALTY CO. A XV INSURER B, AMERICAN CASUALTY CO.afReadill PA RER . TRANSPORTATION INSURANCE CO. A XV COVERAGES SPRCOOI DE THE POLICIES OF INSURANCE LISTED BElOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. II.N;;~ TYPE OF INSURANCE POLICY NUMBER m~Tri~J~E P&~~M~J~?N LIMITS ~NERAl UABlUTY EACH OCCURRENCE . 2 000 000 A X COMMERCIAL GENERAL LIABILITY GL 251929176 04/01/2002 04/01/2005 FIRE DAMAGE IAnv one fire' . 500 000 I CLAIMS MADE [K] OCCUR MED EXP 'An" one rson I. XXXXXXX X CONTRACTUAL PERSONAL & ADV INJURY . 2 000 000 GENERAl AGGREGATE . 5 000 000 -il'L AGG~En LIMIT APn PER: PRODUCTS - COMPIOP AGG . 3 000 000 X POLICY I ~~WT LaC ~TOMOBlLE LIABILITY COMBINED SINGLE LIMIT . 2,000,000 A ~ ANY AUTO BUA 251929193 04/01/2002 04/0112005 (Ea accident) - All OWNED AUTOS BODILY INJURY XXXXXXX . - SCHEDULED AUTOS (Per person) -- - HIRED AUTOS BODilY INJURY XXXXXXX . - NON...QWNED AUTOS (Per accident) APP ~OV1'ln A CO PROPERTY DAMAGE . XXXXXXX -- (Per accident) RGE LIABILITY Jj)lJi -" 1l)) / ',;, AUTO ONLY - EA ACCIDENT . XXXXXXX ANY AUTO NOT APPLICABLE r: OTHER THAN EA ACC , XXXXXXX AUTO ONLY: AGG . XXXXXXX EXCESS LIAEULlTY OJ ,q",~:; heedy EACH OCCURRENCE . XXXXXXX 0' OCCUR D CLAIMS MADE NOT APPLICABLE ssistan.:t ity Horney AGGREGATE . XXXXXXX R 0 UMBRELlA , XXXXXXX DEDUCTIBLE FORM . XXXXXXX RETENTION $ . XXXXXXX B WORKERS COMPENSATION AND WC 251929159 (AOS) 04/01/2002 04/01/2005 X l~ncD~~~i.V;. I I~JH. C EMPLOYERS' lIABILITY WC 251929162 (AZ,OR,WI) 04/01/2002 04/01/2005 j 000 000 El. EACH ACCIDENT . B WC 251907792 (CA) 04/01/2003 04/01/2005 E.L. DISEASE. EA EMPLOYEE $ I 000 000 B NIA IN MONOPOLISTIC STATE El. DISEASE - POLlCY LIMIT . 1 000 000 OTHER DESCRIPTION OF OPERATIONSIlOCATlONSNEHICLESlEXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS THE CITY OF SANTA ANA, ITS OFFICERS, AGENTS, REPRESENTATIVES. EMPLOYEES & VOLUNTEERS ARE ADDITIONAL INSUREDS, WHICH IS ON A PRIMARY BASIS. AND ALL OTHER INSURANCE SHALL BE NON-GONTRIBUTORY. AS REQUIRED IN THE CONTRACT AND INCLUDED IN THE POLICY FORM. RE: INSTALLATION, OPERATION & MAINTENANCE OF TELECOMMUNICATIONS EQUIPMENT AT VARIOUS LOCATIONS. , ___ I I ADDITIONAL INSURED' INSURER LETTER: ., .T,n.. IM318511M582611 2227218 SHOULD ANY OF THE ABOVE OESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRA TlON CITY OF SANTA ANA DATE THEREOF, THE ISSUING INSURER WILL E:~JGU"OR TO MAlL...11L.. DAYS WRITTEN PARKS, RECREATION & COMMUNITY SERVICES ATTN: DOLORES RAMOS NonCE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,8UT r"1b.URE TO P9 E9 [11"b!.. 888 W. SANTA ANA BLVD, SUITE 200 IMPQtE: tlO 9Bb.IC"TI9~1 OR bJABll-l1Y or AtlY KitH) \;IPOtl THE IWiblRER, tTt "CE~In; OR PO BOX 1988 M-23 REPREE:EtIPW'[E, SANTA ANA CA 92702 AUTHORIZED REPRESENTATIVE ~ U ~ , ACORD 25-5 (7/97 for qu..tions regarding thi$ certificate, contact th. number listed in the 'Producer' ...clion above and specify lhe client code 'SPRCOO1'. @ACORDCORpORATION 1988